Organization Active NPI

Holston Regional Comprehensive Medicine

  • Primary Care Clinic/Center
  • Kingsport, TN
National Provider Identifier
1679741532
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HOLSTON REGIONAL COMPREHENSIVE MEDICINE
Practice address
1303 E Center St
Kingsport, TN 37664-2444
Phone
(423) 384-9266
Fax
(423) 239-9649
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. JPHN James Tasker, M.D.
Title
Doctor
Phone
(423) 384-9266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1303 E Center St
Kingsport, TN 37664-2444

Mailing address

1303 E Center St
Kingsport, TN 37664-2444
Phone (423) 384-2820

Other identifiers 1

IdentifierTypeStateIssuer
6205721MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1679741532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 E CENTER ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642444",
            "telephone_number": "423-384-2820",
            "fax_number": "423-239-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E CENTER ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642444",
            "telephone_number": "423-384-9266",
            "fax_number": "423-239-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLSTON REGIONAL COMPREHENSIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "TASKER",
        "authorized_official_first_name": "JPHN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "423-384-9266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6205721",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.